Johnson, Shawnda Lynette

Johnson, Shawnda Lynette is an individual health care provider with primary practice located at 3716 Ne Mlk Jr Blvd , Portland OR 97212-1111. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Johnson, Shawnda Lynette can be contacted via phone (503) 288-8066.

Contact Information

Primary practice address
3716 Ne Mlk Jr Blvd Portland OR 97212-1111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508138124
LBN Legal business name Johnson, Shawnda Lynette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2012
Last updated Jan 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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